Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH K.S. MAH, D.P.M.
Active Sole ProprietorKENNETH K.S. MAH, D.P.M. is a Foot & Ankle Surgery Podiatrist healthcare provider located in BEAVERTON, Oregon. NPI 1619075868 is currently active in the NPPES registry. Verify at CMS.
Foot & Ankle Surgery Podiatrist · BEAVERTON, OR
Registration Details
- NPI Number
- 1619075868
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 20, 2006 (19.939916522882 yrs)
- Last Updated
- Mar 19, 2008
- License
-
DP144 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
14355 SW ALLEN BLVDSUITE 120BEAVERTON, OR, 970054700Browse OR providers · Browse ZIP 97005
- Phone
- 5036431737
- Fax
- 5036434926
- Primary Specialty
-
Foot & Ankle Surgery Podiatrist
213ES0103X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.